Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles E Cancilla, PHD

Individual provider Psychologist · NPI 1700546488

Dr. Charles E Cancilla, PHD is a Psychologist in Suwanee, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

897 Eva Kennedy Rd
Suwanee, GA 30024-1911
Phone: (404) 400-2547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 4473 (GA)

Record details

NPI number1700546488
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 22, 2021
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021
Mailing address2345 Duncans Shore Dr, Buford, GA 30519-6222

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